The Effects Of Dual Relations On The Therapeutic Alliance Essay

Ethical dilemmas may arise during the course of a human service professional’s time with the client. The difficulty in finding a resolution to an ethical dilemma depends on the human service professional’s ethical practice and personal belief system. I believe that I would have little difficulty avoiding a dual relationship. My personal belief system tells me that a dual relationship creates a conflict of interest between the human service professional and the client. It leaves the door open for exploitation between both parties. It is a very fine line to walk when trying to gain the trust of the client. However, the main objective is to respect the integrity of the client and avoid any activities that could open the door to an intimate relationship that is unprofessional. I had an experience where the client’s sister was interested in me and wanted to know me in a way that was unprofessional. Ethically, I knew it was wrong and because of my personal belief I chose not to entertain her. Then, I notified my supervisor. An ethical dilemma that would be difficult for me to handle would be when a spouse shares information in confidentiality during marriage counseling, but does not want the other spouse to know. If I am counseling a husband and wife,

The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.

Therapeutic relationships ease and comfort a client`s mind. A full-bodied therapeutic relationship fosters a comfortable environment constituting contentment, thus decreasing anxiety levels (Gardner,

Many times in counseling sessions, situations arise that require the ability to make ethical decisions. When confronting these types of situations, counselors often refer to the Elizabeth Reynold Welfel’s Ethical Model, comprised of 10 steps, to guide them in making an ethical decision. These steps provide a framework which counselors may use to help with ethical dilemmas. Below are the 10 steps in the Ethical Decision-Making Model provided by Elizabeth Welfel in the book Ethics in Counseling and Psychotherapy to examine the multiple relationship case described in Herlihy and Corey’s ACA Ethical Standards Casebook (2006, p. 242) "A

Counseling takes many different roads in the direction of improving a client’s mental health. These roads all lead to a common goal, but the therapist must be diligent in the direction chosen. A code of ethics provides the parameters for proper and effective treatment and boundaries protect the process of healing. Understanding how these two critical components interweave into this process aids in the conceptual framework of therapy. It may become necessary to expand upon and even cross the theoretical aspect of a boundary in order to stimulate the process of helping the client, but by no means shall these boundaries be violated. The Royal College of Psychologists (2013) compare professional boundaries to that of guardrails at the Grand Canyon, providing the visitor a safe area to enjoy the view with minimal risk of harm. Though the therapist’s boundaries can be much more flexible than a guardrail as it involves the process of therapy, some aspects such as sexual contact as an example are just as unyielding. Utilization of ethical treatment keeps the counselor on the path with clear direction and out of harm’s way for both the client and the therapist. The substance abuse therapist must become intimately familiar with the definition and application appearance of boundary crossing versus boundary violation and how a code of ethics model successful treatment for the substance user.

Certain modalities of therapeutic treatments are linked to ethical dilemmas as well; these modalities affect treatment outcomes as well. Dyadic therapists may misuse the intimate nature of the sessions by pushing their values on the client or clients, or by allowing therapy to extend beyond its efficiency. Confidentiality can be broken much easier with the group setting; therapists need to be highly guarded on this topic. (Amato, 2000)

Most major professional codes of ethics have a policy or rule against dual relationships (Gottlieb, 1993). Dual relationships exist when a professional acts at the same time or sequentially in two roles (Gottlieb, 1993). Through the course of this paper, the concept of dual relationships will be examined. Ethical issues with dual relationships will be explained as well as the clarification and analyzation of a specific dual relationship. Not to mention the explanation of challenges presented by boundary issues in professional psychology.

In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in

Lying on the Couch by Irvin D. Yalom has been both entertaining and interesting from a counseling standpoint in that it provides a scandalous and as was in most of the cases, a look at what could go wrong if ethics in a clinical counseling setting go awry. Following the characters of Seymour Trotter, Earnest Lash, and Marshal Streider in working with their clients and with each other the ethical lessons to be learned become obviously apparent, if not emotionally painful. Although, numerous issues arise throughout the book, there were at least three that will be covered within the context of this writing. In consideration of each of these ethical breaches there will be dialog on the nature of the ethical issue or violation, where the ACA ethical code applies, ramifications of the ethical issue or violation on both parties, and application of Kitchener?s five primary ethical principles that were involved or violated. In addition, the justification offered by the characters in the book for their actions or considered actions, application to the situation in the setting of Clinical Mental Health counseling, and indication of personal response to the situation presented. Understanding that the use of these ethical principles and considerations as they apply in counseling are unequivocally valuable tools in helping a practitioner in working with clients to make comprehensive decisions that will not create conflict within their ethical parameters and are aligned with the laws

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

Dual relationships and the ethical behavior that revolves around boundaries with clients present a multitude of very complicated situations to counselors where a clearly defined course of action is not always evident. Aside from no accord amongst mental health professionals and boundary issues being unavoidable at times, recognition and prediction of potential benefits or pitfalls correlated with dual relationships can prove to be troublesome as well (Remley & Herlihy, 2010). For most cases, it is best if an outline is used to discern when it is appropriate for a counselor to breach the client-counselor boundary.

For that reason, in the mental health professions, dual relationships are generally not recommended. Thus, if your friend who’s a psychologist assumes two more roles consecutively with a client, this is considered a dual relationship. For instance, if an individual held a role as a counselor and business partner, or client and friend, this is a considered a dual relationship. Common examples of dual relationships include: bartering therapy for goods or services; providing

Therapy is often said to be just as much of an art as it is a science. Namely because there is so much that goes into it. To create a successful therapeutic relationship, there are some key elements that need to be a part of the formula. Each therapist may end up having a different recipe, but it is important that a therapist knows what ingredients he or she may need and what they can add for it to be successful. Throughout this paper, this writer will discuss characteristics she hopes to embody as a therapist, as well as the values and skills she wishes to bring with her into a therapeutic relationship.

This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.

This essay will explore the nature of the therapeutic process; using my fifty minute long real play session with one of my colleagues. Also, I will explore my experience of the therapeutic relationship and how it influences therapeutic change and increase the affectivity of the therapy.